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JAMES S. TRIMBLE, M.D., P.A.

Company Details

Entity Name: JAMES S. TRIMBLE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 May 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Oct 2022 (2 years ago)
Document Number: P17000042346
FEI/EIN Number 82-1503141
Address: 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073, US
Mail Address: 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073, US
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912434242 2017-05-17 2022-07-21 2055 PROFESSIONAL CENTER DR, ORANGE PARK, FL, 320734461, US 2055 PROFESSIONAL CENTER DR, ORANGE PARK, FL, 320734461, US

Contacts

Phone +1 904-276-4500
Fax 9042764160

Authorized person

Name DR. JAMES S TRIMBLE
Role PRESIDENT
Phone 9042764500

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
State FL
Is Primary No
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES S. TRIMBLE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 821503141 2024-08-07 JAMES S. TRIMBLE, M.D., P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9042764500
Plan sponsor’s address 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Signature of

Role Plan administrator
Date 2024-08-07
Name of individual signing JAMES S. TRIMBLE
Valid signature Filed with authorized/valid electronic signature
JAMES S. TRIMBLE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 821503141 2023-09-25 JAMES S. TRIMBLE, M.D., P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9042764500
Plan sponsor’s address 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Signature of

Role Plan administrator
Date 2023-09-25
Name of individual signing JAMES S. TRIMBLE
Valid signature Filed with authorized/valid electronic signature
JAMES S. TRIMBLE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 821503141 2022-10-04 JAMES S. TRIMBLE, M.D., P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9042764500
Plan sponsor’s address 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Signature of

Role Plan administrator
Date 2022-10-04
Name of individual signing JAMES S. TRIMBLE
Valid signature Filed with authorized/valid electronic signature
JAMES S. TRIMBLE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 821503141 2021-08-12 JAMES S. TRIMBLE, M.D., P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9042764500
Plan sponsor’s address 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073
JAMES S. TRIMBLE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 821503141 2020-06-16 JAMES S. TRIMBLE, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9042764500
Plan sponsor’s address 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073
JAMES S. TRIMBLE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 821503141 2019-09-11 JAMES S. TRIMBLE, M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9042764500
Plan sponsor’s address 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Agent

Name Role Address
NOLAN JAMES AEsq. Agent 50 NORTH LAURA STREET, SUITE 1200, JACKSONVILLE, FL, 32202

President

Name Role Address
TRIMBLE JAMES SDr. President 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Secretary

Name Role Address
TRIMBLE JAMES SDr. Secretary 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Director

Name Role Address
TRIMBLE JAMES SDr. Director 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000017394 DERMATOLOGY & MOHS CENTER ACTIVE 2020-02-07 2025-12-31 No data 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-05 No data No data
REGISTERED AGENT ADDRESS CHANGED 2022-10-05 50 NORTH LAURA STREET, SUITE 1200, JACKSONVILLE, FL 32202 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-27 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073 No data
CHANGE OF MAILING ADDRESS 2018-04-27 2055 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073 No data
REGISTERED AGENT NAME CHANGED 2018-04-27 NOLAN, JAMES A., Esq. No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-03-07
REINSTATEMENT 2022-10-05
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-27
Domestic Profit 2017-05-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State